HomeMy WebLinkAbout2524 MARK LN - Building Permits�
PPDIECT ROONESS: z S Z�i MARK LN
o�Nea•sxpMe: FAIRVIEW MGMNT. CO.
nooxess: zsZ� MEItIMAC
�. • CM CA92626
uxn: NONE
�4flLN/ENGINEEP: HURKE L$STER 6 ASSOC. pEc.xo.:C—f���5
� RDONE58: 23OZS MILL CREEK RD ��
LAGUNA HILLS CA 92653
PEflMmEE:FAIRVIEW MGMNT. CO. (714).545-7327
ROOflE33: ZSZO M$RIMAC WY
CM. CA 92626
UCENSEO CONTMCfOB OECUMTION: I hereUy allirm t�at I am Iicense0 unGer proNsions of C�aD�er 9(commencinp witA Section
7000) ot Oivision 3 0l t�e Business an0 Professions Code. an0 my license is m fNl forca and eifect. �
CITY LIC.: STRTE LIC.: CUSS:
Date: Sipnature:
WONNEBS' fAMPENS�TION DEClAW1TI0N: I here0 aflirm ttut I twve a ceNfiwta ol consent to utl-InSua or a aNliwro oi Workers'
. Compensatlan Inwance, ar a cenitieE copy t�ereof �Settion 3800, La�. C�.
� roucr xa.: ur. onre:
OMPRNY:
J Certifie0 coDY �s here6y furnishetl. ❑ CerlilleE copy is filetl with tAe city BulitlinA Division.
Date: •Applicanl:
IXFMPfION FliOM WON(FflS' COMPENSITION OECIAMTION: (tNs secfion neeE mi be mmpleted tl Ihe purtut's kr one AUMrtd (5100) or kss).
I certiry that in the pertormance ol t�e woM for whkh ihis permit is issueE, I sAall not employ an person in an�s to Eecome
suUle�� ro t�e Wark rs' penulion Laws,uf Calllomla.
Date: � ' SignaWm: �
NOTICE: I af aldnA ��i Oeclaration, you s�ou10 6 e subjec o e Workers' C pensatian provisions of tAe La�or
CoEe, yo must forthwiih comply with such praNsions r ihis per 5 II 6e OeemeU revoked.
CONSTBUCTION IFNUIN010ENtY: I �@rehy atfirm Ihat IAere is a con n¢tion Iendin0 aAenry lor IAe pedormance oi Iha xrork lor
which �his permii i5 iuue0 (Seclion 3097, �. C�. , �
lENOEN: �
�ooxess: �
OWNEP BUII➢EB OECUIWTION: I �ereby affirm Ihat I am eKempt imm t�a Comractors' State License Law lor the lollowinq xason
(Section 7031.5 Business an0 Professional CoEe: My ciry of counry which requires a Oermit to consimct alter, imD�ove, demolish, ar
repair any stmcWre, prior to its issuance, also re0uires Ne applicant fnr sucA Dermil to file a sipne0 statement that �e/she is IicenseE
pursuant to Ihe Dmvisions of tAe Coniracmr�� State Licensa Law (CAaD�e� 9lcommencinA ��h Section 7000) oi Oivision 3 of ihe Business
an0 Profeuions Cade) ar Ihai hWshe is exempt Nerefrom anE Ihe basis for the allapeE exemption. Any violation al Seciion 7031.5 by
any aDVlicant tor a Dermit su0jttts t�e appliwnt ro a civil penalry of not more than live Aundred tlollars (`3.�00).
I, as mmer oi Ure proDerty o� my empIqees xit� wages as IAeir sole compensation, vrill Oo lhe waAc, anE the
� sWcture ¢ �rot intendeA or oflereG for rate (Senron 7044. Bus�ness an0 Professional Code: Ttre Contacrors' Sdte licenu Law
Uces not aDVN �o an owner of a Oroperry who Duiltls or improves Neaon, an0 wtw Coes suc� vrod �imself/�ersell or tNouph
his or Aer own employees, pmvidetl t�ai suc� �mpmvemenis are nat intenAeA or otfered tor sale. tl, however t�e OuilOinq or
impmvement is so10 wrtAin one ygar af complatloq the awner will have the burtlen of pmvinA �e�s�a did not builtl or improva
,for ihe Durpose oi sale�.
I, as owner of t�e DropeM, am exClusiveN contractinp wdh Iicense0 cantracrors ro cansiruct Ne D�alect (SecGon 704d, Business
�] anE Professianc CoUe: Tha Contr��ors' Sfate License Law Eas not appy to an owner of pmcerry who hmlds or imD� [heaon
m0 w1w rnmracts for suc� proleCis wiN a cantractar(s) license Dursuant ro Ihe Contnctors Staie Licenu Law). I am awam
Ihat pr0o1 ot I�¢ir Wofkei5 fAmpensati0n in5urante StwulE be prOviEeO Ia me. '
� I am eKempt under Sectian: B. d P. C. � �
for ihis reason�
Date: Owner.
I Oa hereEy teRi Aat I aware o antl understanOlhB requit¢ments ot ' omia Mea� a9 Saf¢ry Code Settl 5 25505, 25533, an0
2553a anE tnat I or any future EuilCinp aeupam xilUwill nat (circle one) n to comph/wjWsaid stata co0es anG t�e aquirements for a
permit tor consimctbn ar modification iram the Nr ualiiy Management District. Nesise(tial cansiruction aDPliwtions are exem0� ��om
IAese provisions.
Date: Fppliwnt:
I here6y ceniry tAat I tuve reaG tAk aDD����ion anA state ihat t�e aGave inlormation is conece I a0ree ro rnmpy with all ciry antl counry
orGinanCeS anG Siate laxs relatinOlo Guil0in0 ronSlNqion anE hef¢Uy aut orize r¢pre5enia�ive5 of INS ciry Io ¢nief upon ��e a�ove-men�imed
pmOeM �or insDeclion rpas .
1 O� ��
Date: SignaWre:
oriver's ucense r ' secunry x:
.18qJ8 W�ite—BuilEirg; GreerCoqa Enlorcemen�; Canaiy—Applicant: Flnk—qevenue: GOIEenrod—rlsaeaaor
�
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 044810 �'
PERMIT NO: B 044810 PLAN CHECK NO: N GOVT: N SUPP; N'
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR, • PURPOSE: NEW
JOB DESCRIPTION : NEW SFD SQ FT: 1,937
CLAIM VALUE: 10'7,712.00 CALC—VALUE: 107,711,50 GROUP OCC: R-3 /M-1
COMMENTS: PC 1306-89 L PAID
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUZLDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: 20 FT IN REAR: 45 FT IN FRNT: FT IN REAR; FT IN
LEFT: 5 FT IN RGHT: S£T IN LEFT: FT IN R T: FT IN
�-2�-oia -�3
PARKING REQUIRED: 2 PARKING PROVIDED: • 2 PARCEL: 00 0000 $Z�ONt �•,,,P,[D(�JR.1H q
PLANNING NOTES� ALLKPARK�ING FORLTHESZONUNITSSARERWITHINAGARAGES���r�►�JYC�iA1.REQUIREMENT.
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D E V'E L O P�M E N T ,S E R V I C E S R E Q U I R E M E I��T, 5...
/
ZONING APPROVED BY�; : '� `�' DATE: �3 89.
BUILDING APPROVED HY `; �'Yl'I L Pc C� �DATE: LO'ZE�' f�i
APPLICATION 'ISSUED BY: DATE: '•��
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1EffifiFiEiEiF1EfEMiEikif%ikifiEiPiEiF�EikiEifififMiflflFiEfEiElfMifMik 3fiEkfflEiFiEkifMiEitifiFifififlFkKiEiFlkifiiifififiEiFiFiiiElfifiEiEiEiFif
LEGALI2ATION:N " F E E U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT 'PLUMBING. ELECTRIC MECHANIC ,FIRE SMIP/RES GRADING
PERMIT 667.50 • 7.54
� � SMIP/NON—RES
' PLAN � •
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS---->. 675.04 0.00 0.00 675.04 675.04 .00
REVENUE DIVISION TOTALS--> COLLECTED:
BLUG PMT PLUMBING ELECTRIC MECHANIC
667..50 '
675.04 OVER/SHORT: 00
FIRE SMIP/TOT GRADING PLAN-CHECK
7.54
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I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N, " UNIT COST TOTAL COST
SFR 1475 DWE—TYPE V—WOOD ERAME� ' —GOOD 67.70 99,857.50
SFR 462 RES—GARAGES TYPE V� 17.00 7,854,00
- END: OF FEES
l� . .. . � ' , .
.
- �CONSTFi4iCTION Af�1D PLANNING P� & SPAt
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole _ � 52. ��Pool & Equipment Location , ;
�2._So,il Pipe;Undrgrnd� . - 53. Sreel Reinforcement ,
�+3_€Jectrica_T;�n�tiit�Utility-Undrgmd. � 54. Forms .
� ,r
�19,.�E�ctrical7Corjd"uii Undtgrnd. 55. Electrical Bonding � -
C 5?=Sfeel Re�nioreement 56. Rough Plumbing & Pressure Test -
:n .+.-.-+
"`��`4s.E�Iectric'aIkIFEFjGrnd. �, i�' 57. APPROVALTOCOVER�GUNITE �
::T..� Footings��� �5C� ' S8. Electrical Conduit-Undrgrnd. -
� e- �
S. Foundat'iion� '� �' 59. Gas Pipe, O Undrgrnd., Test �
i9. Water Pipe�Undf9rnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. StructuraJ Floor System ( �Q 61. APPROVAL TO DECK ." �
71. Property Sewer Line'& House Connection 62. Backwash & Receptor�Final
12. Sewer Cap � �� 63. Heater & Vent-Final .
cn
73. Roof Dreins��,�. � ' 64. Plumbing System - Final . �
14. Rough Plumbing . � . 65. Electrical�Final ,
�
15. Rough Electrira`I�Conduit 66. Solar System-Final . �
�16. Rough Electric:Wiring 67. Fencing & Access Approval
��17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
���18. Rough Electrical�T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heatiog &_Air Conditioning .,,FIRE_ E T. REQUIREMENT
� � v i. �.F C7' x G C;r; k D e, .-, r-� �.ir1
20.`,�Rou9h FectoLy F"�replace 5� ;; -� t: c ��--x * ipPPROVALSi��Permit #�C ^
s
n ^ ^A i .. 's: 'c G r-x, ;: , ^r...-."' � � -
21�DuCYs,i�,Stnictuie�� r70. ljnder ro dH ziro
.:� :r :J �-. fl:. M 9 u2i. Y 'i:
22_Ducts, Ventileti g;x .� �Jr; t: ^ � CJ �%� x C77. ProducrPi"ping O�Gas O�OiI
23.'GarPipe�Rou h& Test � ��+- � n d ��� w ^^ '
f, c, � � F -- -1�� � '.�, � x � ]72• Undergroynd FIusF��r ^W.',, "�" "a'
24"'Roof Framin `��: � . �', -� ; " " � � �� � - - .
9 * � (� 0 � V � x •J3.-.Undergrnd. Storage:Tank �O Gas ❑ Oil �
25._Roof Sheathing �Y � ��" �' r� C' = y� K' 7q:�Oyerhead Hydro_� ^ K �
:. -� : ,: �.o �� ,` F ,: � .. . .c ,-
26,iT-8ar Ceilinq.IStruc�tural) &"Monocoat:.•;� -� y -_ � :, 75 _Dry Chemical ^- , � g-
I 27rFrame and Flashing� =�xM _ y�I 0^ �"� Y 76. Dry Stand'pipe "� `^ '
..��n ���: � 1 _r k d`.' , r 0.1
'�28. �lathin �-& Sidin ' ` �: ' `" .: ` �`" ^" � � � �� - � �`
9 9 r '��;�- c•� ` S O lp,W�.: 77=.FIXEDSYSTEM:FINAL::,- , _�,,�
^29. Insulati0� .: �t,,., - _�,'�r� �-�6✓�. 78.�FIREPREV.FIN.A'L y.`� �' `�
" ^• O Y: ^ �.. `t S : ` ' �,q� � '!: -i �: '�
' 30.DrywallNailing ,.. ��v - � �Ip:x.r. S r6<1LTH=DEPT:REQUIREIVIE
'_�31. Plaster BrownCoattt 5 '�"" �� i � Q �r x-7g,�FINAL INSf=ECTIO�N i� C.'
nl Y L. t. `� f O W v: rz' l� N :;'� ' �'f �
�1 . X '. 1 , . ,
ry32�Electrical P wer MeterFinal "';p .w "' I• � * y'SOr;F00D CERTIFIEATE ISSI�ED� �:.'^
� - - ... - .. . r , � �- � „ . . .. .� = ; . _
E33:_Firtal Electrir x� ��� '���'•' � - J f; , * Not�s: ^."�". '7 �:
.� h s
� �34:_�Firr�l Heating & Ai�Gondition ng= � J' �� � � i � . i* � � *
� y , -, . _ , . .. .-. .'. . . � .. -
35�'Final Gas Pipe-Test- �� �?�' x �� � �(�� "� � �o �7�-+ s: �
.T
J36�Hood or CanoPV x - .1 ;�-� � � � i�: � � � . � � � ,! . y
q' .:�: � �Y. r, a m
. . , ..� � . .. �. .-. .
'^37.-Final Factory Fireplace` � rS- aa �r � w.'�' _ �
� o-� 'tx �-.1 I I fH f' Q' C Y.
i ' � x f�� i :[ I �+f x S -i 8 r^.
�38. Final PlumtiF,ng * �, C.� i.1: � � � � -. `.., ,�� x r�
/ "'39. Water Service�Final�, � � �p .i s � ! �x x � � � � r�` � � � �
H' " L i ].' ^ '�
I y40. Gas Service-Final � 1 1'p"' i" �_='" "� � � p` �'� �'� -'^' "•`
,�^, :c ! , < „t i--! • z:. `y Y: q•
a t , i.v..e. � .+. .. ,.
��41. Solar pomes[icFinal �j � •:�: � � �: r: .:- �:c. x -
� 42 Backflow Preyente� , cJ � c : �: � , Fw �: � > 5- '� o �
xN C�i--� O:+.� r.:e C' r;:J^�. �; i-, .�.-�
x �.=._. v_•.x _..
43. Backflow Irngation� > ,+: •- a: � '�� ~ + �: � • •
' - z .- r
''44._LandscapelniqationSystertii�n''C'"S�?� � � � ""- �� .-y � =�� `' �� �=
"*• O 4 =" ;,: r s g �v t`-,
. : .-; ;-� .�- - . - � - .
`45��Sound Qttenuatioo �-y� •• o� +: ` [, ;:, i:,x < J c• � � =":' i:
_ �
�'46.-'Han,dicaP Regulations -� '�" ". ..�e * � G •S ��a � v:
x %! .r...e � t: * 4 _� Y.
,47-FINAL STROCTURE & BUI�I.DING`� n � !]n , �� ,: y ' '' -" r, ; _
iV n �:
48�FINAL PLANNING �'�" "� : : � i �'v- - ,. �_. � 1 r• v:�
_49CElectric Release to'sEdison ,� �;;; � '�' �� �,F: � � •; � 'r � N�J
_n
�50=Gas'=Release'to Souihem Califorrtiy Gas Co` � � ' .. '� � � S = _ "�. : � • •
.-, . : ] rJ c
�51. CEiiTIFICATEOF'OCCUPANCY � fi `- -" ' '� •" ^ ' -" ""
No Date
m
NT
�
r
II�
CONSULTANTS • INC.
MaY Z5, 199�
CITY OF COSTA MESA
%% Fair Drive
Costa Mesa, CA 92626
Attn: Building Department
SubjeCt: CIVIL EF:GI�`EER'S FINAL GRADE CERTIFICATION FOR TRACT NO.
i3348, IN THE CITY OF COSTA MESA (FILE 2046)
BLDG. PERMIT N0. B044810
This is to certify that the final grade for building No. 21 also
known as 2524 Mark Lane, was field checked on May 24, i990 and found
to be in conformance with the intent of the grading plan.
Very truly yours,
DGA CONSULTANTS
�
Surender Dewan, R.C.E. 34559
Engineering Manager
:jls
1 182 North Tustin St.
Orange. CA 92667
(714)744-0802
Fax (714) 538�2152
O[her Offi[e Lo[ations:
F2ancho Cuwmonga
Palm Springs
THIS IS TO CERTII THAT INSULATION HAS BEEN �TALLED IN
CONFORMANCE WITH 1'HE CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE
BUTLDING LOCATED AT:
SITE ADDRESS: 2524 MARK LANE COSTA MESA, CA
Number Street City/State
AIR INFILTRATION: MANUFACTURER: MANVILLE
EXTERIOR WALLS
Manufacturer MANVILLE Thickness/Type 3}" R/Value R-11
CEILINGS.
Batts: ManufaCturer MANVILLE Thickness/Type 6 3/4" R/Value R-19
GENERAL CONTRACTOR: MESA DEVELOPMENT Lic. #
By � � Title Authorized AQentDate 5-16-90
INSULATION CONTRACTOR: WESTERN INSULATION, TNC. Lic. # 481278
y Title Date
Form 106
3/89
PN6IECT ROOflE35: 2 S 2=/ tiA RK L N
OWNEB'SNRME:��fAIRVIFH M4id46EN,ENi GC.
RDOflE33: Z��� MAI� CT
. 1 V1��f �Q-• . ' .
uNrt:
Z/
excxaxc�xeex: BURKf_LESTfR S /��.5[�t• pE�.NO.: ���V�,,��n
�ooness: �3025 NILL GREEK DR ��
PEHMITTEE: LQGUNA H ILLS ,CA 526�3 :
aooxcss: K.a. PLUM.BING (714)59E-4622
Z_72 GLCSSELi AYE A
ORdNGE CA 92EE5 '
IJLENSED fANTMtTOB UECLAMTION: 1 �ereW attirm that I am Iicense0 untler prm�ions ol ChaDter 9(wmrtrencinq xitA Section
7000) of Di�ision 3 ot tM Business anE Pmlessions COAe. antl my license ¢ in tull toae aM eflect..
cmuc.:�ZR��q(� st�reuc.:281476 ,�p c� L—�E '/1� ..� v�
Oate: � J b-1 $Ipnamre: �� d'� !/11 /✓) l i / 9.-�1
WOBNEBS' COMPENS�TION UECLAMTION: I AereEy affirm tAat I have a cetlificate oi cansent to sell-Insum ar a certillcate ol Warkers'
CamOensation Insurance, or a certitie0 coDY �hereof (Section 3800, Lab. C�.
raucvxo.: 8G0135S3 exv.o�re: GS/�ti/SA
COMPeNY: DAYCC IIYS
❑ CertifieE coOY is �ereby IumiSheE. ,�'. Cenifletl copy is file0 with t�e ciry Buildinp D/iv'ulon.r,\
9ate: �� f � ADPIIcanL �.d W�V� � l��-*�`� ��
E%EMPfION FBOM WOBNEfl3' COMPENSRTIOM UECIAfWTION: Rhis seciion neeG not he completed il (Ae permit is lor one Auntlretl (E7 W) ar leu).
I cetlity that in ihe DeAbrmance af the worN for whlc� ihis permit is issue0, I shall not employ any Derson in any mannar m as to �ewme
su�lect ro t�e Work¢rs' ComDensation Laws of Calilomia. '
Oate: SlpnaNm:
NOTICE: If, atter maknp tAis declaatlon. you 5�ou10 �ecome subject ta [he Warkers Compensatlon pmNsians ol t�a La�or
CaCe, you must IonMvith camDN �+�� such provisions ar tNs permit s�all be tleeme0 revakeU. r.
CONSTBUCTION IFNDIXO ACENCY: I herehy alfirm t�at Nere is a construction Ientlin0 a0ency tor [he pertormance o11M work for
wAicA tnis Dermit is Is4ueA (Section 3097. Civ: C). ,
IFXDEfl:
�noxcss: -
OWNEB BURDEB OECIAMTION: I hereDy aflirm tAat I am ezem0� ��am tl�e Contactors' SWte License Law for the idlowinp reason
(Section 7631.5 Business an0 Professianal CaOe: My riry ot counry wAich repui2s a pertnil to consinrct, atter, im0«. demalisli, or
repair any structure. D�� �a ��u��. also reQuues Ne apDficant lor such permii to file a 5i9neG sutement tAat Ae/she ¢ IicrnseO
pursuam ro tAe D�ovisions ol t�e Contactors' State �icense Law (CAaDter 9(commencinp vnih Section 7000) of DNision 7 al t�e Business
anE Professions COAe) or Ihat �e/s�e is exempt tAeafmm anOlhe basis far the allepea eeemD�ion. AnV �iolalion of Sactlon 7IXi1.5 Dy
any apD�iwnt tor a permit suejttts roe applicam ro a civil penalry of not more ihan five hunare0 Oollars (5500).
I, az owner of the DmDeM o� my emyloyees with wapes as tAeir sole wmpensatlon, will Eo tha woM, anE I�e
❑ siruclure is not intenEeU or ottereA lor ule (Sec�on 7044, BuUness anU Professional Code: TAe Contactars State Licensa Law
Uces not appty to an awner of a Droperty wtw OWds onimprwes tAerean, and wtro Oas 5uU work Aimself/Aersetl or thmuAh
. his br �er wm employees, D«tleOlhat such improvemems are nat inten4e0 ar affere0 for sale. If, �owever I�e �uil0inq or
impmvement is wIC witNn one year af campletion, [he owner wiil have ihe buraen ot O�ovin0 he/s�e Oi0 not DuilA or improve
for IAe Durpose al sale�. . . ,
I, as owner oi the Droperty, am excluslvely contractinp with Iicense0 contractors to constmct ihe projeci �Sectlon 7044, Business
❑ and Prafeuions COEe: The Contractors' State License Law Eoes not ap01y ro an owner ol praperry who Owlds or Improves Ihereon
an0 w�o conbacis lor sucA pml�ts wlt� a contractor(s�license pursuant ro the Comractors' State License Law),I am aware
tAat prool al t�eir Workar's Campenution insurance shaul0 �e pronGeE to ma.
� I am exempt uneer Sectian: B. 8 P. C.
lor ihis reason:
Date: Owner.
I Ao hereby cetliry t�at I am aware of anA unAerstand the reQuirements ol Califomia Healih anC Salety CaUe Sections 25505, 25533, anG
2553a anG ttwt 1 ar any tuwre GuilAinA a�upant wilUwill not (circle one) neeA m compry vnth ui0 state caCes anG tAe requirements for a
permii for con5tmclwn ar motlitiwtion �mm t�e N�r vallry ManaAemen� qs�nct. flesi0ential cons�mclion applications ara CvemD� ��om
I�ese pmvitions. ' ' .
Date: Applitdnt:
I AereDy certily t�at I have reatl ihis application an0 stata ttwt the above intormation is cortect. I aprea to comply with all ciry antl counry
orOinantes antl SUie laws relaiinp Io huilOinp tOnS(mt�ian an0 here6y iNMrize repreSenG�iveS o� �his Ciry �0 ¢nier upon Ihe above�m¢n[ioneG
pmperty foriInspCCiiOn purpos¢s. n r� 1\1
� Date: �) I��.'iC� 1 SiOmture: `�� � M./'� \ �% lLfi
Oriver's Lirense or Socul Securiry x:
164/J6 W�ile--BuilEing; Groen—COEe En�orcemeng Canery—Applicam; Pink—Revanue; Goltlenrotl—Assesaor
CITY �F G�S7A MESA — BUIIDING PERHIT
PERM37 Hi: P 045132 PIPK CHEGK NG: N GCVT: k SUPP: N
CCASTRUC7IQN TYPE: N U D FRAME PERN.IT iYPE: PLU PURPOSE: �EM
JOE DESCRIPTIGN : NE� H�USE PLUM.BING SG FT_
CLAIM. YA WE: CALC—VAtUE: . 6R04P QCG: !
CGN.NENTS: REFfRENGE 53RUC7URAL PERNIT � EU44810
i##�P�C# 4 # �#####3#3#�� ##03#+R##0####30##3�St+R### �#i�#####4###�R##3*##t##t#t#t�t#��*f�#
Z C A' I N G R E 0 U I R E M E N T S
S E T E l C K 5
---------- MAI� BUILLING -------- -------- ACGfS50RY BUILDING ------
FRRT:. FT , IN RfAR: FT IN FFN7: FT IN REAR: FT IN
LEF7: F7 I� RCHT': ' F7 IA' LEF'f: FT IN RGH'7: FT IN
PARKIN6 FECUIREO: PARKING PROYIDfC: PARGEL:�ooanooea ZQNE:
PLANNIAG NCTES> �
i
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; Q E V E L 0 P M E N T S E Fl Y�,i^ C E S:.': R f Q U I R' E. N E N T S
�2.. :
ZOAING AFPRCYED BY __ �� �____ DATE: �_
EUILDING APP�OVEC BY t "� ' � DATE: _
APPLICATION ISSUfD BY: � �' DATf: ���� /
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LEGALIZAIICN:R � F E E 5 U M M A R Y ' S?RUG7URAL SEGMENT=k
BLDG PMT PLUK9ING fiEtTRIC NEtF:ANIL PIRE SM.IP/RfS ' tRADING
PERMI7 .• 25.00
' 259 SNIP/N0�`—RES
PIAN . . ,
IS�UE FEE 3.0�
BUILDING—DIV—> PERM.IT ISSUE PLAN—CtifCK T�TAL PAID OUE
1Q7A15---> 25.OQ 3.OQ �.QO 28.00 28.fl0 .00
REVENUE CIVISI�N T07ALS--> CCILECTED- 28.Ofi OVER/SHOK1: .Ott
� BiGG PMT PLUMBIMC EIEGTRit M,ECHANIL FIRE SM,IP/TOT 6itADING PLAN—CHECK
' G8 �{3�} . ' � � '� .
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TYPE 6�7Y G E 5 C;R I P T I a h' UNI7 CO57 TOTAL LCST
FLU 2 8ATH7UB 2.IIU �.�DQ
PLU 1 OISHI�ASHER , 2.GU ' 2.80
PLU 1 LAUNLRY 7UB OR iipSF:ER. 2.8D � 2.00
F�U ' 1 SI�K, KI7CHEN 2.4U 2.00
PLU 3 HASH BASIN 2.p0 6.00
PlU 2 1rATER CIGSET t7G1LET) ' 2.G0 • 4.00
PLU , 1 GAS FIPIKG SYS QF 1 TG 4 OU7LETS 2.Q0 2.OG
PLl' ' 2 GAS PIFI�G SYS 5+ OU7L—PER OU7LET .°O . 1.00
PLU 1 HATER HEATER AND/QR VEfvT 2.G0 2..00
ENG GF FEES
1 '
01 D004E44i-00043441 T ��T 2°.00
iATf• 11 NO /Off TTMPr. � I�01
1
CONSTRUCTION AND PLANNING POUL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. TErnpora�y Electrical Service or Pole , � 52. Pool & Equipment Location
'2. SoilPipe•Undrgrnd. ' : � �'L��-�� �.fil� 53. Steel-Reinforcement
.3.�Electrical Conduit Utility-Undrgrnd.� - 54. Porms
"4�. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
�
, 5:.Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
,.
7. Footings ' , � � 58. Electrical Conduit-Undrgrnd.
8: Foundation� � 59. Gas�Pipe, O Undrgrnd.,Test �
9. Water Pipe:Undrgrnd. YQ (.f� 60. Backwash Lines, P�Trap, O Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap � - ` 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbi�ng � � CQQ .C.F{�i1 65. Electrical-Final -
75. Rough Electrical-Conduit • 66. Solar System-Final
16. Rough Electric Wiring. 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Elettrica6T Bar Geiling 69. POOLlSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� �
20. Rough Facto'ry Fireplace � -' � ' � ',.y � APPROVA'LS',,,,; Permit # ;` '" : � � ' � '
21. Ducts, in.Structure.- � .. . " � � �•> • -'70. Underground Hydro i
22. Duc{s, Ventilating�„ � ' ._� 1; 77, Product Piping O Gas ❑Oil
23..Gas-Pipe-Rough &�Test i . -. 72. Underground Flush
24. Root Framing �'-' �" � � " r 73. ,Undergrnd'.StorageTank OGas OOiI i ' r ' .
25. Roof Sheathing �� .;, ., � v• �� - v� c� 74. Overhead Hydro •
26. T-Bar Ceiling (Struciural) & Monocoat ;� � ' ' 75. Dry Chemical _ ' _ "' ' : 1
27. �Freme and Flashing'. _ , . . ' �+ 76.�Dry Standpipe •- . � - �,��•� �
28. Lathing & Siding� �,y ^ _��_�� ' "� "� "�? ? 77,yFIXED SYSTEM;FINAL. � � � . .',
',29. Insulation �y' ' � �� �� , I I �. �. 78: F�IRE PREV. FINAL � �� -�• � �
30. Drywall Nailing -�'� " � � `�," ` ' ' ' 'HEALTH DEPT. REQUIREMENT
., i I f" 1
-31. Plaster Brown Coa(,� i , � -t' ( �;4+% 79. �FI�NAL INSPECTION �
`32. Electriwl�Power Me'ter�Final� ' a^' � �. �y,� 80.:FOOD CERTIFICATE ISSUED �
I I iS . 1 !i, I-..-. � � �. ., � * •
33. Final Ele�tric, � � 1 i ��ia.� Notes: � . ,. , � r ,
�34.�Fina1 Heating & Air��Conditioning< � -' � �� •" *+ ' -" • � - " � •
- .. I I/ tu ,. l � f. ..�
`35. �Fina� Gas Pipe•TesY ; ' " ,�f 'gp� L�;.;� � , '' r, . ' .,. i} _ -; .
� - •- ' -
�36. Hood or CanoPY . -� 1 •`�� •• +.� I i ,�,�.f%..; � .: � -
i i ' � ,> ,
. - i i ,�
37.,Final' Factory Fireplace � i___ I t='/(._� r� r - ,
'38. Finat Plumhing ��. v i 6 �'� (��� �<� _ " � '. � � .
i .-� -+w
- 39. Wate� Service-Final�` � � � � ;'•r�'� " . �' - -�
i ,r � � -I � - ,. . . , .
�40. Gas Service-Final � , . � I I �N.t ^ � . . �* �
� ��. � ,._�.
'41. Solar pomesticFinal � ^' ` � I �`. -� ' • •
�; u I I I.��- � "l . . . ..
yr �-
42.�BackflowPreventec: ,� .. ct � I � ia-s � .� � ,� --.
43. Backflow Irri ation': ^ ' � ; " '; ' � ; '
9 �� - a -v i� .. . . �. . . . .
44. Landscape Irripation System � - . � � ' - 'u �� �.� :� '�; � • , � �. -
. -. � ,
45. Sound Attenuation' ' - ' � � ` "' ` ;Y 'r � '�'" � :r , ;
r.� • O '-� Cl �b _
Y .
46..Handicap Regulations � � � . � - --
� i
47 `FINAL STRUCTURE & BUILDING � � � � /� ; ' � � - _
48:'FINQL PLANNING, i.-.. .. t:` I i j ry +� -r � .. -
,
49 �'Electric Release to•Edison � "t ( i `as: •a .� � i -�
i k 1 I �i•,,.•
.. . ' i •.r i � i r.r v • . . � � .
50.cGas Release to Southem Glifomia Gas Co � i i. �a s<. -, . m a � • ...�. ..
r, ..
51. CERTIFICATE OF.,OCCUPANCY y '' <. e� e � . - r. .- � .:. . . . � ,
N0. Date
�
PN0.IECT ►ODHESS: Z S Z 4 MARK LN
owxen�sxunc: FAIRVIEW MGMNT. CO.
ROONE55: ZSZO MERIMAC
. CM CA92626
' uxrt: NONE
�flLH/ENGINEEP: � 71 Q� 1 q S-7 3 Z 7 qEG.MO.:
�ooxess: DURKE LESTER s ASSOC. C-��25
23025 MILL CREEK RD
LAGUNA HILLu . CA 92653
PEHMITTFE: FAIRVIEW MGMNT. CO. (714)545-7327
�ooness: Z520 MERIMAC WY
CM. CA 92626
IICENSE� CONTIiACTOH OECIANAT10N: I hereby allirm thatl am licensetl untler Dravisions ol C�apter9 (commencinp with Section
7000� of DiNslan 3 of l�a 9usine55 an0 Professions Cotle, anA my licen5¢ ¢ in lulllorca antl etteCt.
CRY 11C.: STqTE Llt.: � ClAS3: � .
Date: SiAnature:
WONREBS' COMPENS�tION DECIAMTION: 1 heraby aifirm tAat I �ave a cetlificate ai consent to self-insura or a cetlifiwte ol Warkers'
Compensatian Insuranu, ar a mrti/ieE copy thereol (Section 3800, Lab. q.
POLICY NO.: E%P. DRTE:
COMPRNY:
❑ Cenilietl copy is nereby fumisAeE. ❑ CenilieE copY is fileU wit� the ciry BuilEinA Oivision.
Oaie: Ap0licani:
IXEMifION FPOM WONNERS' COMPENSRTIOX OECIAMTION: (IMs sectlm nee0 �roi De compkle0 i� Ne permil n tor one hunareA (51U0) or less�.
I certity t�al in ihe pedormance of the woM far which t�a permit is issueU, I s�all nat emD�oy any person in any manner so as m Decome
subieq Io Ine W rkeri mpensation Laws ol Califomu. /y.�
Date: g �L O - � Sionama: �U""'�. / i � �„'��
NOTIC : If, aite makinp this Oeclaration, you s�ou ewme su�lect,to Ihe Workers' Compensation p v¢ions of tAe La�ar
Coae, you must forlhwiih tomply witA suth OmWsiOns or iNs Dermil'shall Ga Ueemed revokeE.
CON5fBUCT10N LENUINU �GENCY: I hereq� atlirm Itut [here is a constructbn lenainp aqency lor t�e DeAormance al (Ae work br
whicA lnis permitis iaue0 (Section 3097. Civ. C).
IFNDEB: i ' '
RUOBESS: "` _ . '"�. . _ ' .
� ' R ,
,� - . .
OWNFR BUILOEP �ECIAMTION: , I 1rere0y aflirm that I am exempt trom Ne Caniracmrs' Stam License Law tor t�e followinp reason
(Section 7031.5 Business anC'Pmieislonal Cotle: My ciry of counry wNCA requires a Dermit ro consimc[, alter, impmve, demolis�, or
re0air any stmcture, D�ar ta its issuance, also requires ihe a001icant foi such permit ro file a si0�� statement ihat he/she is IicenseO
pursuant ta t�e provisions ol the Contacrors' State license Law (C�aO�er 9(commencinq wit� Section 7000) of Oivision 3 al t�e Buslness
an0 Prolessions CaAe) nr that �rJshe is exemOt Nerelrom an0 IM Ea.;is lor the alle0e0 exemOtion. My violation of Section 7631.5 hy
an a iiwnt /or a ermit sub'ects I�e aDO�t to a�civil penalry ol not mom tAan iWe AurkreG EMlars (5500)
CITY OF COSTA MESA'— BUILDI�IG PERMIT
PERMIT NO: M 046455 'PLAN CHECK NO: N
CONSTRUCTION TYP,E: V—N PERMIT TYPE: MEC
JOB DESCRIPTION : INSTALL FACTORY FIREPLACE (ICHOk3195)
CLAIM VALUE: CALC—VALUE:
PERM NO: M 046455
GOVT: N SDPP: Y
PURPOfiE: OTH
SQ FT: .
GROUP OCC: R-3 /M-1
COMMENTS: RE:D44810 PRIMARY HLDG. PERMIT. �
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� 7. O N I N G R'E Q U I R E M E N T S
S E T• B A C K 5
------------ MAIDI BUILDIDIG -'------- --------�ACCE550RY BUILDING ---•------
FRNT: PT IN REAR: F1' IN �FRN'l': F'T IN REAR• PT Itl
LEFT: FT I�l AGHT: FT IN LEFT: FT IN RGHT: FT It�]
PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF T10:
PLANNING NOTES>
� _ . .
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..1� E V E L O P M E N 1' S E R V I C E,S R E Q U I R E M E M T S
ZONING11iPPROVED BY _ DATE:
BUILDING APPROVED DY.: DATH: __ (��
APPLICATIODI ISSUED BY:� DATE: o3 2'�q"�/���_� _�X�/�
iFiE iE iE iE 14 iE if if iE �E iE iE 3E 1E 1f 1E if if iE iE if it if iE it iE if 1F iF ib N-iF iF ifiF if'iFl(li� 3f 3F # iF
�£�iF����F7Fi
1EifiFiEiflEiE3hifiEiE3ElEiEiEf(�iEiEiEiElEifiFlfiEif#IFlEIEfEfE*�1FIEff itlt EiEifiElE�EfflfkK�iEiE�f14iElEifltiflFiEiEif�ltiEiklffk%if#lf1E�If�ifif�if
LEGALIZATZON:N F E E� S U M A R Y STRUCTURAL� SEGMENT:T1
HLDG PMT PLUMHING ELECTRI MECHANIC FIRE SMIP/RES GRADING
PERMIT 20.00
25t SMIP/NODI—RF.S
PLAN , '
rco o i ISSUE FEE 4.50
i as owner of tne pmoeM or my em ioyees witn waoes as-meir soie compenution, vnll Eo the work, ane tna DUILDING—DIV—> PERMIT ISSOE _ PLAN—CHGCK TOTAL PAID � DOE
❑ simctura is no� inrenAed ar anerea Im uie (gection 7oa4, eusiness ana Pmtessionai Coae: Tna Cantracmrs' State Licenu Law TOTAL S--' -- —> 2 0. 0 � 4.� � ' �. 0 0 2 4. 5 0 2 4. 5 0 . . 0 0
Ooes not apply to an owner of a pm0erty wtw OuI1C5 or ImOroves tAereon, an0 who Ooes such work himsetl/Aersell or NmupA � �
Ais ar Oer awn empbyees. 0��4� tAat sucA impmvements am not intenUeU or otlere0 tar sale. If, however ��e Euil0in0 a� REVENUE D I V I S ION TOTALS--> COLLECTGD • 24 . 50 OVER /SHORT : 0 0
impravement ¢ wIC x�iNn one year oi mmOktion, [�e ovmer wi0 have the OurUen ol Dmdnp he/s�e Ci0 nm OuiIG or imD�'e
mrtnePurposemuie). • BLDG PMT PLUMBING ELECTRIC MF.CHANIC FIRE SMIP/TOT GRADIMG PLADI-CHECK
I, as owner oi tha D�oVerty, am exclusively conVaciinp wit� Ilcensed coniractors to conslmcl t�e D�ole�� (Section 7044, Business �. 2 4. S O • '
� anU Pmfesirons CoOe: Tha Contactars' State license Law aoa not appty to an awner of DrapeM � �WOs or impmves thereon '
anEwtwcontractslarsuchprole«swithaconiractor(s�licenseDursuantrotAeContractors'StateLicenuLaw).lamaware iEiEiFiEifif3E3tkitifjEiE�Ei(�*3kiflfitiE�EititiE3f1E1EiFiEifiFitlEiEiE�kit�f�Eif3E3tiE�fikK�itiFlEifaE�lfiE�EfFiFlfififM�3E3E3EiE3E1FiE3EitiEiFM�IEi�-it�lfit3f
Iliai proof ol t�eir Worker's Compenuoon msu2nce shoul0 be OmhEeO to me. _ i N D I V I D 0 A L F E E B R E A K D O W N
� I am exempt unEer Section: � 8. 8 P. C.
rorinis eason: TYPE QTY D E S C R'I F T I O Dl UNIT CUS'L TOTAL COST
� .
oate: o-""ef MEC 1 FACTORY FIREPLACE 6. 50 , 6. SO
I do Aere�y cetliry Iha I am awara ot and un0erstanU t�e requiremenis of omia HealtA antl Salery Catle Sections 25 , 25533, ana MEC 3 �I�ENT I LAT I ON- FAN CONN TO S I NGL F. DOCT 9. S 0 ]. 3. 5 0
25534 ana tAat 1 or any future huildinp occupant will/will not (circle one) neeA ta comply with sai0 state co0es antl t�e requiremenis for a EDID �F PEES �
permit for construcibn or modifiwtion imm [he Nr Oualiry ManaOement Distnct. FlesiCential consimctlon applications are exempt fmm
t�ese pmvisions.
Oate: ApplicanL �
I Aereby cenity tAat I �ave read this apD����ion and state ihat t�e above iniormation is correct. I aA�ee to comON �h all ciiy an0 counry
or0inances anO state hws reqUnq to Euil6np mnstnrction uM hereby War� reD��atives ol tNs riry to enter upan Ne ahove-mentioned
pmpeM �or in5pe Gon Du u. . .
i
Date: � Siqnature:
D�iver's �icenu or Sociai Secunry x: ��]
16atJ8 W�iro—Bu110ing: Green—COCa Enlorcement: Canary—Ppplkem: Fink—Revanue; GWEanroC-0.tsessor
0
01 U00`5qg9-OD055939 i'OT 24,50
DATE� 03/13/9� TIHE: i4:43
CONSTRUCTION AND PLANNING � POOI & SPA
APPROVALS Permit # Date 'Inspector qppROVALS Permit # Date Inspector
� 1: Temporary Electrical Service or Pole , 52. Pool & Equipment Location . •
2. Soil Pipe•Undrgmd: � 53. _ Steel Reinforcement
� ��3._Electriral�.Conduit Utility-Undrgrnd. 54.� Forms
l.'••. �
" 4..Electrical�CopduirUndrgrnd. 55.-Electrical Bonding
�w'S.iSteel Reintorcement � 56: Rough-Plumbing & Pressure Test
�.�_
,�6.=Electricil. UFER'Grnd. 57. APPROVAL TO COVER�GUNITE
�- 7�.VFootingi - ., . � 58.'.Electrical Conduit�Undr9md. _
S. Foundation� � 59.� Gas Pipe, O Undrgrnd., Test '
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, �, Undrgrnd.
10. Structurel Floor System 61. APPROVAL TO DECK
11. Property Sewer Line &.House Connection - 62. Backwash & Receptor�Final
12. Sewer Cap . _ 63. Heater & Vent•Final
13. Roof Drains,,. ,� 64. Plumbing SYstem - Final �
14. Rough Plumbing 65. Electrical�Final -
15. Rough Electrical-Conduit , 66. Solar System�Final
16. Rough ElectrioWiring 67. Fencing & Access ApProval r
�
";17. Rough Wiring Sign . 68. APPROVED POR PLASTERING
���18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19._Rough Heating &�A4r Conditioning __ , ,� �_ r,FIRE QEPT. 9EQUIREMENT
. .- '
20t�-Rough Factory F�ieplace '� �- �c . ._ '•'� r -APPROVALS�,-,�_,Permit# � '
21: DuCts, in'Strucm�e" •� _- r � F` 70. Underground Hydro
r.,
22.-0ucfs,Ventilating�', '- �j q (�Q., , :;�71. ProducrP,ipingOGas ❑Oil
23.�Gas�Pipe-Rough & Test - " , __ � ' -72, Underground Flush' • -
24 `Roof Framing ��, ;_ ' � �� " ' - �,, ` .73=�Undergrnd. Storage_Tank �O Gas OOiI
25. Roof Sheathing - �� • ' j' R� � 7q,� Overhead Hydro, � '
26`T•Bar Ceilin9 IStructural) &-Monocoat ;, r „ � -;; � 75�Dry Chemlcal _ -7 .. _ ,
27�Frameand Flashing- - ,�� • 76. Dry Standpipe �'- "� : �
"28.� Lathing_& Siding , �� _ -, '� , ";, � 77,�, FIXED SY$TEM.F.INAL, .. �
i
29. Insulation < � ' •• � (�, j� ' 7g'.PIRE PREV. FINAL '� -
T30. Drywall_Nailing r , _, ' : � , ,_ = HEALTH�DEPT'. REQUIREMENT
_ 31. Plaster Brown Coat � _ "' � � - '79, FINAL INSPECTION r� �-
� 32'._Electricai Power Meter-Final � �," ''SO..:FOOD CERTIFICATE ISSUED
" _ -
�33 _�Final Electric Notes: - � - - ' � -
34! ,Final Heating & Aif:Cortditioning- ^ ' � ��r-" - -. ' - - -
_ `1 k ' :' 1: �� `j � t��4'..
35.-Final Gas Pipe-Test�, r.�'� 'r �. . �,� : - - - - � i r'-
i_ -
�_ 36 : Hood or�CanoPY � = J -' _ :' a '' '' � �,��./�"..' _ � _- ' � '
' - �te T
-37.•Final Factory Fireplaee;: _-• = 2�/ Q L�%r-± _�
='38. Final Plumbing ' ~ ` � � �r, �� _ _ .' _ - .
i-
' 39. Water Service-Finalk - �. ; �r � � � � ... � � -
'i40. Gas Service-Final � � - • - - � +� '" -
A T -
� f G � � - .
� 41. Solar pomesticFinal- '_ � '' . r - . - -
42. Backf�ow Preventer. �. + �r 4 t: ^ -
1 ' -
43. Backflow Irrigation' ' ` . . �� • �
:':44. Landscape Giigation System=� !`,: � ' � K. - � � _ � `_ •
-+ c- ,-,
�'45:''Sound Attenuation ... � � = r»: .� _ � • . -•
"_ 46.��Handicap Regulations - _ - � " - � - _ �
7
_.47=FIPIAL STRUCTURE & BUILDING � , .��.� T ' ' ' - .
48.-FINALPLANNING - - _ ` ' "
' 49., Electric Release to Edison �� �' - � _.
= 50:-Gas Release to Southem California Gas Co �` - - ` �
,/i - -
51. CERTIFICATE OF OCCUPANCY ' � � � �
No. Date
PB0.IECTROOPEBS: 2S%4 MARK LN � �
owxex�sxune: FAIRVIEW MGMNT. CO.
110DPE33: �S1O MER7MAC � -
, Chi CA92G26
uNiT: NUNE
�flCNRNGINEEfl: BURKE LES'T�ER 6 AFi50C. xea.xo.:C-b925
�ooeess: �3025 M7LL CREEK RD uxrt:
' LAGUNA EIILLS CA 92G57
� PEBMITfEE: �UMMIT 5fiEE'1 METAL, ID1C. ( 714 ) 772-0500
. nooeess: 305 N. CRESCCNT WAY
ANAIiPIM CA 92801 .
UCENSED CONTMCTOR OEClAMT10N: I Aereby atlirm t�at I am licenua untler pmNsions oi Chapter 9(commencing with Seclion
7000) o� Olvislon 3 ot �Ae Business and Professions Code, and my licens¢ is in full farce antl eflec�. .
c�Truc.:005952 � sT�Teuc.:1959��s� 43�
Date: _')..'-2L � - g C� Siqnawre: ��V��✓`
WOHIIEPS' COMPEN511TION OECUHIITIUN: I �ereEy atlirm tlwt I have a certificate oi consent to sell�insure or a certificate o1 Warkers'
camoenution I�sp bce, pr ��rnip 1�qpy IAe�eat (Section 3800, Lab. L11 � 0 1/ 9 0
Pol1CV NO.: U t5 IV V(1 U J Eyp, p�7E; 1
coMr�xr: �TATE PUND '
❑ Certifie0 coDY is hereby fumishea. � Certifietl capY is filed with the cM Buildinq Oivision
�ate:2— �.--I �- � � qpplicant ����✓' ��--� `
E%EMPTION FflOM WOBNENS' COMPENSITIOX OECLAMTION: (This uctian need no� 6e comDletM i� the permi� is lor one hunAreA ($700) or lew).
I certiy ihat in tlle Dedormance ot the work far wAich this oermit is issue0, I shall not employ any oerson in any mannar so as to become
su6lec� ro ihe Workers' Campensation Laws of Califomia. �
i•
Oate: - SiO�ature: �
XOTICE: If, atler making this tleclaration, you SAOWU hecoma su6ject to the Workers' Campensation pmvisions ai the Labor
CaAe, yrou mustta�hwitA comply vnth such D�ovisions or ihis permit shalt be tleemetl revaketl.
CONSTBUCTION 1FN01XG �GENCY: I Aereby a/frm tAat t�ere is a conslmction IenAinA aAency /or t�e pertormance oi the woM for
wAich ��is permit is iuuetl (Sedion 3097, Civ. C�. , '
IENDEH: � � � '
RODflFSS: ' � ' • ' ' '
�WNEB BUIIDEB UECUMTION: I here6y attirm that I am exempt tmm the Coniracrors Stata License Law lor the follovnnp reason
(Section 7031.5 Business an0 Pmfessional CoOe:' pny ciry oi counry w�ich repuires a permit td constmc6 alter, improve, demolish, or
reDair any slmcNre, priar to its issuance, also aquires t�e applicant for such De�m% to file a 5ipneA statement Ihai he/she is Iicense0
pursuant to the pmvisions of the Contractors' Sta(e License Law (Chapter 9(commencinA with Section 7000) of Oivision 3 ot tAe Businass
antl Pmfessions COUe) or that he/s�e is exempt iherafrom anE the 6asis /ar the alleqetl exemption. Nny violation oi Sactlon 7031�.5 hy
any ap0licant for a De�mit subjei[s t�e aDPlicant to a cidl penalry oi not more than five hundred dollars (5500�.
I, as owner of the praperty or my employees with wapes as iheir sole compensation, will tlo ihe work, anA the
❑ sirucmre is not in[en0e0 or oflered for sale (Section 7044, Business antl Protessional CoUe: The Contractars' Stata License Law
- Ooes not apDq to an owner�af a Droperty w�o EWIOs or impmves ihereon, antl who tloes such wo�rc Aimsel//herulf or t�mugh
Ais ar her own emDloyees, pravitle0 ihat sucA improvemenis are not inren0e0 or ofleretl far sale. II, �owever ihe builEing or
imDmvement is so10 within one.year af completion, the awner vnll have the OUNen of Drovinq he/she Uitl not buil0 or improve
Por tAe Durpau oi ule�. • , ,
,I, az owner of the Dmperry, am exclusively comractin0 ��� Iicense0 con(racrors to canstruct Ihe Droject (Section 7004, Business
❑ antl Pmfessions Code: The Cant2ctors SWte Licenu Law Ooes not aOUN �o an awner o/ D�aOeM who Oml0.s or impmves thereon
anU who wntracts tor such pmlecis vnth a coniracmqs) license pursuant to tAe Contractors' State License Law�. I am aware
tAat D�oof of their Worker's ComDensation insurance should be pmn0etl to me.
� I am eMempt un0er Section: B. 8 P. C.
for this reazon: ' ,
oate: Ownec
I tlo hereUy certity ihat I am aware ot antl un0erstanG tha reQuiremenis oi Califomia Health anU Satery Coda Sections 25505, 25533, anC
25534 anOlhat I or any fumre buil�ing acupant wili/will not (ci�cle one) neeA ro cdmply with sai0 state cotles antl tAe requirements for a
permit for conslmction ar moGification iram the Air �ualiry Managemeni Oistrict. FesiOential constmttion aDO�ica[ions are exempt imm
theu O�ovisions. .
Daie: ' ApDliwn�:
1 �erzhy cenity tAat I hava reaOlNs appliwtion an0 stale Ihat ihe ahave inlarmation is correct. I aqree to camply wit� all ciry and counry
orNnances an0 state Wws relafing ro OuilEinq consWpion anC hereDy aut�orize re0��ntatives of tA¢ ciry ro enier upon the ahovrmenGoneA
pmperty lor insD�tion Purposes. .
oate: '� ^ 2'L � 9� SiA�ature: �✓�
oriver's License or Sociai Secunry a: �> '
184/J6 W�ila—BuilCinp; Green—Cotle Enbrcemem; Cenery—ADPlicant: Pink—Ravenue: GOldenro0—Assassor
• CITY QP COSTP. MESA - BUILDING PF.RM.f.T
PERMIT h10: t4 046194 YLAN CIIECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC ,
JOB DESCRIPTION ; NEW SPD
PERM NO: M 0461�94 � �
GOVT: N SUPP. N
PURFOtiE : OTH
.r"iQ FT:. .
CLAIM VALOE: CAL,C-VAI�UF.: �' GROOP -0CC: R-3 /M-1
CUMMENTS: R�:D44H10 � ' �
**�x*��c�t*��*�t�x-�*��**�**�***;�*���***��xx+c**��r+��r**���*x+t*x*�rx-�c**�r*��x��t***�*xk���x ,
Z U N I N G R F. Q U I R E M E N T S �
� � S E T II A C K S �
---------- -- MAIN II[JILDING .---------- --------- ACCESSORY B[7ZLDING ----------
PRNT: P'P IN REAR: • FT IN FRNT: F1' IN RF.AR: FT ' IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: PT, IN,'
PARItINC REC�� PROV: PARC�L: 00000000 ZNL': REF NG:
PLANNING NUTEa> •
> ' .
if� i:� iE iF if iE 9f'�1E.3E iE iE �1f 3E iE Y- 3F M i( k if # it iE iE 1E iF it iE iE iE iE iF i(� i! i(� iE iE iE %iE �)f iE �:� iE if it iE %# iE iF iE iE lE iP if if �k iF i6 iE ik iE )E ## it� �E',E 9E if iE jf iP it it �%� )E dE
•' D F. V E L Q P M E D! T S L•: R,' V T C F. S It G Q U 1' R' E M E N'C S '
ZONTNG AL�PROVED BY �' DATE: ' �
➢UIL,DING AFPROVED BY : llATE: �
APPLICATION ISSUI:D BY: � ' DATE: ��al��p
iEiE'lE1E')EiE�lE1EiE3EiEiE3E?fiEiFlfifff3Eif�If-i�iF3EiF�.:'t.. .if.. 3t .. � . —rtiliE�iF . �F�'�'1f1E3E�E?EiFif?l�PiE�'.F�FeF�if� �iFif�
if�Eififlf9EiEif��tiEiliE3EiEi�*ifk%ififif�ltiE3EiEiE#iEiEiE±Eik3Eik 3E�(-iEiEiFiEi(-iE7E.. '3EiE3Eltif�k?Eif-iE?FiE�7likiFiFit#3EdEiEi'iElFlE#�E1:iEiEiE'?E
LCGALT7.ATIOPI:N L' E� S U M M A P Y - STROCTURAL .SEGML•'NT:N
BLllC Pt4T PLUMBING PLGCTRIC MECHANIC FIRE SMIP/RES GRADING
tl
PERMIT • 9.00 ,
25R SMIP/NOP]-RES�
.l�1rA61 �
tssvr FHF. ' ' is.00
HOTLDIAIG-DIV-% PGRM1:1' ISSUE PLAN--CHECK 1'01'AL PAID . DUE
TO'TALS----? 9.00 15.00 O:OU 24.00 '4.00 .00 t
REVI:NUE DZ�:ISION TOTALS--> COLLF.CTED: 24.00 OVER/SfIORT: .00 •
I3LllG PMT PI,UMBING ELECTRIC ML'CHANIC ' FIRE SMTP/TOT 'GRADING'PLAN--CHECK
, 24.0�
�lflEifiE�EiE?Ef'jEiF�3fYr1f-lEiEi(iFfFlEiEillfiFiElEiElEif�IElE3FdE1FiEifiE�%�if�ifiF�N��(-fE�QiEi!��%itfEifitiklfiE�EiEiFlt)E%iEiE�lEdfiEdEiE�3EiEKffiE�X.YdFitiF�?' •
I N U I V I D U A L F F. F: 13 R E A K D O W N
'TYPE
r��r.
C,�TY ll E S C R 1' P T I� O'N
2 VENTI�LATION FAN CONAI TO SIDIGLE DUCT
� L'ND OF FEE i
UNIT COST 'TOTAL COST
4.50 ' 9.00
OS OOOS�J%i—OU�J�J%1 TCdT 24.�0
QATE: 0:/21/40 TIME: 13:44
CONSTRUCTION AND PLANNING POOL & SPA �
APPROVALS Permit# _ -Date Inspector p�ppROVALS Permit# Date Inspector
1. Temporiry Electrical Service or Pole 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. � . 53. Steel Reinforcement -��
3. E�lectrical Conduit Utility-Undrgrnd. � � 54. Forms
4. Electrical Conduit-Undrgmd. ' � % . ' 55. Electrical Bonding : j
��� 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. . � 57. APPROVAL TO COVER�GUNITE
7. Fooungs �� , 58. Electrical ConduirUndrgmd. .
8. Foundation ;� , 59. Gas Pipe, � Undrgrnd., Test ' i
9. Water Pipe-Undrgrnd. � �� 60. 8ackwash Lines, P�Trap, O Undrgmd. '�
10. Strutiural Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line�& House'Connection �.: 62. Backwash & Receptor-Final -
.,
12. Sewer Cap ' 3� 63. Heater & Vent-Final � ,
13. Roof Drains y� � 64. Plumbing System - Final .
14. Rough Plumbing � r� 65. Electrical-Final � _
15. Rough Electrical�Conduit � 66. Solar SYstem-Final
. 16. Rough Electric Wiring - 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in Structure ' ' 70. Underground Hydro _
22. Ducts, Ventilating �(��` �� 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test � � ; 72. Underground Flush
24. Roof Framing . � ' . 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing � ' _ 74, Overhead Hydro
26. T�Ba� Ceiling (Structural) & Monocoat . � 75. Dry Chemical �
27. Frame and Flashing ' -� � 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL .
29. Insulation " ' 78. FIRE PREV. FINAL ' �
30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coac• _ � i: 79. FINAL INSPECTION
32. Electrical Power Meter-Final ;; , 80. F000 CERTIFICATE ISSUED
33. Final Electric - Notes: � �
34. Final Heating & Air Conditioning jy��� (,��-, '
35. Final Gas Pipe�Test� . - �, � •
� 36. Hood or Canopy " _ "
��
37. Final FaMory Fireplace . . j.�,i'� _ � '
38. Final�Plumbing - � ,f'� '� -
39. Wate� Service�Final � .) ,
40. Gas 5ervice-Final . ' 7
41. Solar pomesticFinal �
42. Backflow Preventer -
43. Back�low Irrigation .
44. Landscape Irripation System � . ' -
45. Sound Attenuation . . �
46. Handicap Re9ulations ' '�
47: FIIVAL STRUCTURE & BUILDING : - -
48. FINAL PLANNING �„! � ,
49. Electrie Release to Edison �
�!` -
� 50. Gas Release to Southem Califomia Gas Co ��%'
51. CERTIFICATE OF OCCUPANCY '
No. Date
PH0.IECT R�UNESS: ? S 1 4 �"I�iK LN
OWNEfl'SXRME: I;AIIZVIEW MGMNT. CO.
�ooness: ��ZO MERIMAC
� ' CM CA97.625
u"iT: NONE
�BCN/FNG�NEEfl: �URKF. LESTER 6 AaSOC, AEG.NU.i�._�M�S ',
aooxess:29025 MILI, CREEK Rli
PEflMITTEE: �AGUNA HILL5 � CA 92GSJ`
noosess: �ANTIAGO AIR COND ( 714 ) 99$-1fi00
231 W BLUfiRIDGF.
ORANGE CA 92665
11CFNSED CONTMCTOB OECLAMTION: I hereCy aflirm ihat I am licensed un0er O�ovisions of CAaD�e� 9 Uommencinq with Section
70001 oi Divisian 3 0l tAe Business antl Pmlessions Caae. an0 my license is in lull lorce and enect.
ciTr uc.: 0 0 9 5 srare uc.:2 6 9 4 9 6 cuss: C— 2 0
Date: Signaiure:
WONI(EBS'COMPENSII7IONOECUNITION: I�ereEy atlirmthatlhave cetlificateolco n roull-InsumoracetlifiwteolWarkers
Compenution Insurance, or a certilie0 copy t�ereof `Section 3800, Lab. C).
PoLICY NO.: WC S%� i O S I FI(P. 011TE: O 4/ O 1/ 9 O
cornrnxr: pACIFIC STATES �
❑ CetlifineC mpY rs herehy fumi5Ae0. �' Certitie0 capy is IileC wlt� Ne ciry Buildinq Uivision.
Date: `� '�T —�� ADPliwnt: '
IXEMPfION FBOM YNBNEBS' COMPEXS/iTION �ECtAiUTII1N: (iAis secL»n n not he complete0 il tM mit is for one hunaretl (S10%or less). '
1 ceniTy tlut in the Dedormance of tAe work for whic� ihis permrt ¢ issue0, I s�all no� emplay any er n in any manner w a5 to Decome
su6lect to I�e Workers' Compensation Laws of Calilomu. �
Oate: Sipnature:
. NOTICE: tl, atler maltinA this Oeclaration, yau s�oultl became su0lect lo Itre Workers' Compensation prouisions ot IM laDor
�� CoOe, you must fort�wit� comply wit� suc� pmdsions or this permit s�all be AeemeO mvoke0.
CONSTNIICTION LENOING AGENCY: I here0y affirm that ihere is a wnsWclian IenOinp apency lor the performance al Ilw work lor
wNch tha permh 6 iuue0 (SecGon 3097. Civ. C). , ,
LENDEfl:
nooness: -
OWNEN BOILOFB OELUX11ilON: I here6y atfirm that I am exempt trom t�e Controctors' State License Law for [�e lollowinp reason
(SecGon 7031.5 Business an0 Professianal CoOe: My dry oi counry wNch repuires a permil to construq, aller, imOrave, Oertwlbn, or
rtpair any strucwa, pnar to its issuance, alm aquires I�e applicant lor SucA permit ro tile a sipnetl s[atement t�at �e/she is IlcenuU
purswnt to t�e provisions af the Cantractors' State Licenu Law (Ctupter 9(commencinq wit� Section 7000� al DiNsion 3 of t�e Business
and Pmtestions Ca4e) ar tlut he/s�e is enemD� Uereimm and the Eazis lar the alle0e0 exemption. My rioWuon oi Sectim 7037.5 Oy
any applicant tor a Dermit wAjxts tne applkant ro a rnil penalry al not more ihan iroe hunOreO Oollars (`3.AUl.
I. as owner of the pmperry ar my employees wifh wa0es az their wle compansation, wi0 Uo t�e work, mU l�e
❑ slmcWre is wt infenEed or oflereU �ar sale (Section 7044, Business an0 Pmlessional CoCa: The Cantractars' State License Law
Ooes not apDH to an owner ol a propeM w� �uiltls or impmves ttrereon, anU wt�o Ooes suc� wark Nmsell/herull or thmuqh
�liia or her awn employees, prwi0e0 Ihai wc� imD�men¢ are not intenEM or ottere0 lor ule. II. however tAe Ouildinp or
imD�'ement is so10 xitNn one year al comdetion, tha ovmer will have Na UurEen ol provin0 ANshe OiC not OuilA or improve
' , lar tAe Purpose ot sale�. . �
I, az awner of t�e pmpeM. am exclusively contractinA ��� �icenseE comactars to construct Ihe D�olect (Section 70a4, 8usineu
❑ anA Professions Catle: T�e Coniractors' suro License law Ooes �wt appty to an avmer at Droperty wtp OaWs or improves therean
anG wlw contracu forsuc� prajecR xiID a contractaqs)license purswm m the Contractors' State L¢ense Law),I am aware
t�at proof ot t�rir Worker's Compensation insuance s�ou10 Ge prwiGeE to me.
� I am exempl under Section: B. 8 F. C.
��or IIIiS reasOn: ,
Ddl¢: � QMIEf:
I ao hereby cenity tha� I am aware ol and un0erstanOlne repuiremems al Calitomia HeattO anA Salety Cotle Sections 25505, 25533, antl
25534 an0 t�at I ar any luture buil0inp occupant wilUwill not (cirUe one� nee0 to campy with said stale codes an01�e repuiremems for a
permit lor consimctian or rtroAifiwtion imm tAe Nr Oualiry Manapement Distnct. Hesiaential construction appliutions are exempt Irom
theu provisions.
Date: pp0licant: �
I herehy cenity that I have rtaA this apDliwiian antl slate tAat the above information is carrect. I a0rre ro comply wit� all ciry anE counry
artlinances an0 state Wvrs relatlnq to OuilOinp crosWction anG �ereby autlwrize represrnutives ol ttds tiry to enter upon Ne a0ovo-mentione0
propeny forinspJectwn purposes. .
Date: �-1 �� � O Sipnature: �_�� �
Driver's License or Sodal Secunry
1601dfi W�ite--Buildinu; Green—CoEa'EnlorcemenC Canerv—AnplicanL
• CITY OF COSTA MESA - BUILDING pERMIT PEEfM NO: M 04609F�
PERMTT NO: M 046096 PLAN CHF.CK NO: N GOVT: N SC7PP; tJ
CONSTROCTION TYPE: V—N PERMIT T'�'PE: MEC , PURPOSE: OTH
JOB I�EiCRIPTION ; NEW SFD SQ FT:
CLAIM VALUL•': CALC-?�AliUE: , ' GROUP UCC: R-3 /M-1
COMMFNTS: REE' B44810 �
*�**�r*��+c**x***�**��c**�#x-��r�*����*�***��r*x�x�r*���*r.****�****�c-**�*a�***���**�e��r��
Z O N I N G R E Q U I R G M E N T S
s e•r B A c x s •
--------- -- MATN f30II,UING ---------- --------- I�CCESSORY BOILDING ---------
FRN'I': PT IN REAR: FT IN FRNT: F'P ID1 REAR: F1' IN
LEFT: . C•T IN RC,HT; F'T Ir! LEFT: FT IN RGHT: FT IN
PARKING RGO: PROV: PANCEL:'OOOOOOOD ZNE: REF NO:
PI,ANNING NOTES> '
. � . .
�E.1f iE iE X iE # k?E M iE 1! if if N iE k i( k it if iE �lE iE �1(� k 3E �1F 3E 3E iE fE �%iE iE iE iE iE �IE �IE X� it 1E # iF iF if iE?E 3E 3f 1E 3f 3E 3E iE iE iF iE if iE iF k if iF iF )f iE jE 3E iE k i(� iE I61E iE �14 if
: D F. V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROL'F.D BY . " : DATE:
BUII,DING APPROVED HY :
APPLTCATIOA! TSSUED HY:�
+t�e�*���*�**���*x�t�**�e* 3F�r�
iF �E jE � ik# if if fE M IE IF M�ik M i( ik iE iE iE !f M iE IE !E if iE�E 3f if if k�rt ..
LEGF�LTZATION:rI ' T E E�
BLDG PMT PLUMHING ELE(
PERMIT
DATE:
%'r��DATE: �Z` 14'��
- ��'��fi�if iE fF lE )f i�3f 3E if ik if3F i�SFiF7Xi� R iF iE
iE iE iE 3E jE !F �E X- iE iE iE iE if 3F iE 3E 3E if iE if 3E 9E 3f i(� iE if ik iE iF dt iE �F iE 3E �E 3E iE iE �E iE
� U M M A R Y ;TROCTUkAL SEGMC�lT:t�
IC MECHANIC FIRE SMIP/RES GRADSNG
9.00
258
;MIP/NON—RFS
PLA61
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSOE PLAN—CHECK TOTAL PAiD DUE
TOTALS----> 9.00 �5.00 0:00 24.00 24.00 .00
REC'ENUE llIVISION TOTALS--> COLLECTED: 24.00 OV�R/SHORT: .00
BLDC PMT �LUt4BING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLA�1—CHECY.
• 24.00
ik if�Eif !f if'fE�f')f if if iE 1k if ik iE�E f� �E !! �f if i% i%fk lfif 3E-)f iE iE !!-!E if 1f if if fE iE !f 3k i('�f iEif ff 1E iF3f 3f k i! 3f :�!-?��E if iEif iF if if if if �E dE 1f �f if 3E iF 'f-)E 3EiE iF If1E 3f-
T N D I V I D U A L F E G� B R E A K D O W N
TYPF. QTY D E S C R I P T T O N UNIT COST TOTAL COST
MEC 1 INSTALL FORC/AIR PORN := 100 K BTU/H 9.00 9.00
ENn o� r•rEs
a10005408Q-00054Li80 TOT 2<:QD
DpTE: 02/14/4Q TIhE� 14:35
, CONSTRUCTION AND PLANNING ' POUL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
t. Temporery Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. + 5A. Forms
� 4..Electrical Conduit�Undrgrnd. 55. Electriwl Bonding
.5.'Steel Reinforcement � 56. Rough Plumbing & Pressure Test �
6.�ElectricalUFERGrnd. . . 57. APPROVALTOCOVER-GUNITE ,
7. Footings . 58. Electrical ConduirUndrgmd. .
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9: Water Pipe�Und�9rnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVALTO DECK
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
12. Sewer Cap ; ' 63. Heater & Vent-Final
73. Roof Drains � � 64. Plumbing System � Final
14. Rough Plumbing ,-., 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System-Final
� 16. Rough Electric Wiring � 67. Fencing & Access ApP�oval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. flough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning �� �� �� _ FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ven[ilating ' 71. Product Piping OGas .00iI
23. Gas Pipe-Rough & Test �� 72. Underground Flush
24. Roof Framing .� � � � 73. Undergrnd. Storaqe Tank O Gas ❑ Oil
25. Roof Sheathing . - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat -� 75. Dry Chemical . ,
27. Frame and Flashing - 76. Dry Standpipe ��
28. Lathing & Siding - . �� 77. FIXED SYSTEM FINAL
29. Insulation '.-.i � 78.-.FIRE PREV. FINAL
30. Drywall Nailing , '�� HEALTH DEPT: REQUIREMENT
31. Plaster Brown Coat ' � 79. FINAL INSPECTION
32. Electrical Powe� Meter-Final 80. F000 CERTIFICATE ISSUED
33. Final Electric � - �j7�;��t/� - Notes: �
34. Final Heating & Air Conditioning '';�� , '
�,
35. Finel Gas Pipe�Test� _ � il,' -
36. Hood or CanopY . � � ' - �
37.� Final Factory Fireplace � � ' � . �
38. Final Plumbing - . � � .
39. Water Service-Final � ���
40. Gas Service�Final � ' � •
. 41. Solar pomestiaFinal .
42. Backflow Preventer �
43. Backflow Irrigdtion ' .
44. Landscape Irrigation System - � �
45. Sound Attenuation ' ' ' .
� 46. Handicap Regulations . �
47. FINAL STRUCTURE & BUILDING , �+ ' . ,
48. FINAL PLANNING -
49. Electric Release to Edison �`��
50. Gas Release to Southern California Gas Co �.- �
51. CERTIFICATE OF OCCUPANCY
No. Date
�� PB0.IECT ADOflE35: � S Z 4 MARK LN ��
� OWNEB'SNRME: �'AIR��I�W MGMNT. CO.
aooeess: ?520 MERIMAC
. • CNf'CA92626 -
uxiT: NONE
�HCHIENCINEEP: �jURK[; LEST.ER ��AiSC1C, flEG.NO.:C-E9ZS
' nooness: z3025 MILi, Ce'2EEK RU uxrt:
LA�UNA HILLS CA 92653
PENMITTFE: DOUG SCOTT F.I.ECTRIC ( 714 ) 775-0061
naoness: g�028 MO[JNT tiICKS
FOUNTAiN i�ALLEY �CA 92708
LICENSED CONTMCTOB UEClAl1ATI0N: I here�y affirm Ihat I am liceny nAer pmdsions oi Chapter 9(commencinA witA Sectian
7000) o� Division 3 of �Ae Busine� and Pmlessians Cotle, and my lice i in �ull�orce and eflect.
cin uc.: 0 G 6 1 ST�Te uc.: 3 7 4 2 9 5 $S� C� 10
� Date: r Sipnawre: GQ
WOPNEB COMP ISRTION OECUMTION: I here6y a((irm t�at I have a c rtificate al consem ro self-insure ar a cetlificate oi Workers'
Compensation I s raf�c cettifieQ copy ihereoi (Section 3800, La6.,�()
POLICY NO.: �� O���-" S'-J E%P. ORTE: �/ 7/ O 1% y O
carnrexr:STATE FUND
❑ Certifietl copy is hereby fumishetl. � Cenifie0 coDY is IileE with Ne ciry BuilOinq DiNsion. �
.Dace: 3/�y �� ADOlicant�OV9 ✓��I ��-/�—
E%EMPTION FBOM WOPKEPB' CUMPENSITIOX UECLAMTION: Rhis sectian ne not Ge complete0 it ihe Dermit is for one AunOreA ($100) or leu).
1 cenity that in tAe De�ormance of the work for wAich ihis De�mit is issuea, I shali not emDloy any person in any manner so az to become
suDleC� to Ih¢ WOrkers' CamDensation laws ol Calitomia. ' - "
Uate: SiAnature:
NOTICE: If, atler making ihi� tleclaration, yau stwulE Eecome suble�� �o t�e Warkers' Compensatian pmtisions 6f tKe LaGor
CoOe, you must larthwith comply with such pmvisions or t�is permit shalfhe deemed revoke0. '`� �
CONS7RIICTION LENDIN� 11GENCY: I hereUy aflirm that there is a wns[mction IenOing aAency for the peAormance of the work far
w�ich tAis permit is issue0 (Section 3097, Civ. C). � •'
�xoee:
aooxess:
OWNER BUILDER UELUMTION: I �ere6y aflirm that I am exempt imm tAe Con[racrors' State License law tor the fallo'vnnq reason
(Sedion 703L5 Business antl Pmiessional Cqtle: My cRy of counry whic� requiresa permi� ro constmct, alter, improve, demolish, or
repair any stmcture, D�ior ro its issuance, also requires tAe aDPlicant Por such permit b fite a signetl statemant that he/she is Iicense0
pursuant to the Dmvislons of ihe Contractors' SWte License Law (CAapter 9(commencinA with Section 7000) ol Division 3 oi ihe Business
an0 Pmfessions Cotle)'or that Aeishe is exempt Iherefmm antl the hasis for the atle0ed exem0[ion.�My violation of Section 7037.5 by
any apDlicant for a permit sublects ihe apDliwnt to a cNil penalry of not mor¢ than five �undretl tlollars (f500�.
I, as owner oi t�e pr00enY or my employees with wages as their sole compensation, vnil Oo the xrork, an0 ihe
'� � s[mcture is not imentletl Or oflereE lor sale (SecUon 7044, Business antl Pmfessional Code: The Contractors' State License Law '
tlaes noi apply to an owq¢� of a pmpeM wha �uiltls or imOmves IAereon, an0 who Aoes such work Aimselt/Aerseli or IhmuOh
his ar her own employees, provitled ihat sucA impmvemen[5 are uat intentleU or attereA for sale. If, however the huiltlinA or
imDrovement is so10 within ane year of completion, the awner will have ihe Uurden oi provinA he/s�e tlid not hui10 or improve
for t�e Durpose ol sale�. � - �
' I, az owner oi the O�oOe�y. am exclusively contracting wit� Ilcense0 contracturs ro wnstruct ihe prole�� (Section 7p44, Business
❑ a� Professions CoOe: The Contrzctors' State License Law Aoes not appry ro an owner ol pmperry wTo EutlAs or impmves thereon
an0 who contracis for suc� D�ojecis wit� a contractoqs)license pursuan[ m the Cont2ctors' State License Law)..I 5m aware
that pmot of their Worke� s ComDensation insurance s�oulG be D�ovitletl to me. ,
� I am exemD� unAar Section: B. 8 P. C.
for this reason: '
Oa�e: � Owner: '
I Oa hereby ceniry tnat I am aware oi an0 understan0 the repuiremenis ol Califomia Healt� and Salery COAe Sections 25505, 25533, an0
2553a an0 t�at I or any fuWre Ouilding occuDant wilUwill not (circle one) neeA to comDly vnt� sai0 state codes an0 Ihe requirements lor a
permit for canstmctian or motli/ication imm ttle pir OualHy ManaOement �isirict ReLCential consimction applications are exemD� ��om
I�ese provisions.
Oate: Applicant: �
I �ereby certity t�at I have reatl ihis application anE state that the ahove inforIptian is coract I aqree to comply with all ciry an0 caunry
ardinances an0 sWte Wws relatinp to Uuilding canstmctian antl hereDy auilro' fp�eSEnGlive50� �hi5 C, t0 e0i¢� OpM Ih¢ aGOVEm¢nGOn¢0
proDerry for inspection purpous.
Da�e: '�/ �y� SiqnaWre:
Driver's License or Social Secutlry x: �
16a1-a8 White—Builtlinp; Greqn—Coye En�orcement: Canarv—AOO����C Pink—Ravenue; Goltlenrotl—Assessor
C'f.TY OF' COSTA MESA -- HUILP_ING PEF2MTT FERM AIO: E 046417
PERMfT•,NOt E 046417 PLAN CHECK NO: D! GOtTT: �N SUPF: td
CONSTROCTIUN TYPE:'V—N PF.RMIT TYPE: ELE �' . PURPUSE: OTIi
JOB DESCRIPTION : NEW SFD ' ' SQ FT:�
CLAIM VALUE: CALC—VAI,UE: GROUP OCC: R-3 /M�1
COMMENTS:"RF.:B44810 (1937# SQ FT) �
�*�r**�r*+r�*�**�r*�r*��*�c��x��*****+�***�x�*+r**�*�r���*�*.�***��**�*�c*�r�****x**+�i��*****x�
Z O N I N C, R E Q(7 I,R E M E N T S
' S E T. A A C K S
------------ MAIN BUILDiNG ----------- --------- ACCESSORY BUILDING ----�---�—
FRNT: F7' IN,REAR: FT IN PRNT; FT IN REAR: FT I�1
I:F.FT: FT IN RGHT: FT IN L�.FTe FT LN RGHT: •.FT IN
PARKINC REQ: PAOV: PARCEL: 00000000 2NE: REF NO:
PLANNING NOTES> �
> .
�t*ic�t-iti�***�t�it*it�t�iti�***x�**k*i��-**it+t*i�+c�,�t;l�,�t�xiti�i�+t**iti��tic��t*�t�x�*�t�t***�t�t*�t�x�**�t*it�it��l��tx�**it*i�it
' D E CJ E L U P•M E N T -S E��2 V I C F. S R E Q U I. R E M E N T,S
ZUNING APPROVEL BY � � r.4 DATE:
BUILDING APPROVF.D BY : �
�. .. ?J
AFFLICA'fION ISSUED BY:
3E�1E9FlFkif�ififiElEjEiEiE�fiEiF3EififiEiflF7t � '�'f 'iFiFi�i'F�E�F�F
***��r�rxx*�**x�r�****�e�x-;�*�x**�r�r�r* ** *���r��x**�
LEGALIZATIOt•1:�1 F E'E U M M A R Y
" BI,DG PMT PLUMBING GLECT IC MCCHI�NIC
PERMII' ' 6-.80
� � SOY
eLAr� �
ISSUE FEE 15.00
B[IILDIblG—DIV—> PERMPC ISSUE PLAN—CfIECK
TOTALS----> 67:.80� 15.00 0.00
,
RE�?ENUE DIVISIOrI 1'O'TAI.,Sr—> GOLLECTL:D:
BLliG PMT FLOMDING ELECTRIC MECHANIC
82.80 �
DA'CE ;
DATF.: �' 09 Pi L%
ii�tTe3Fata�*it3tx��x��x�3tx� �"iE#�Fiix-.*
+��*�rx�xx�****���***+�*�*��c�r��e
STRUCTURAL SGGMEDIT:AI �
FIRE SMIP/RES . CRADI�IG
SMIY/NON—RF.a
�
TOTAL PAID DUE
82.80 82.80 .00
fi2:f30 UC'ER/SHORT: .00
FIRE SMIP/TOT GRAD'ING PLAN-CHECK
iE iF 1F iE k if it if iE k ik it iE N iF # if iE iE IE iE iE jE jf jk iE iF if� ik �E if iE iE K� iE if iE iE 3E 3E ik iE iE iE iE if iE 1E if if if iE M iE 1E iEiE iE iE iF iF.ik �lf iE iF iF if if if lE IE N-iE �lE 3E iE iE if �E
� I N D I V I D U A L. F H E B R E A K D O W N ,
TYPE QTY D E. S C R I' P T I O rl' UNIT COST TO'tAL COST
ELE 1937 NEW RE:i BLDC FOR 1. OR "1. UNITS/ SQ PT .03 f,7.80
END OF FEES .
ui uoos�szz-anosss�i i4"1T &3.sa
4ATE� 03J12/90 TIMf: il:?9
N
CONSTRUCTION AND PLANNING
APPROVALS Permit # �
� 1. T�mporery Electrical Service ar Pole ��
�
.2. .Soil Pips;Undrgmd._ '� �'��
- -'.!
'��lectrical'Conduit Utility-Uridrgmd:�
" 4._El9ctrical�Conduit-Undrgrnd.
�'.;5�-:Steel Reinfoccement� .
"•o �� tlectrica� ►JttM �Vmd.
t�..
:= 7. Footings � - - '
8. Foundauon " ' � � %;
;9. Water Pipe-Undr,g`r'nd. % �
10. Structural Floor SYstem � ij � v
11. Property Sewer Line:& House Connectii
-. r
12. Sewer C8p �_ _ C �
13. Roof Drains , , ` r�)�
14. Rough Plumbing • ���
15. Rough Electricaf-Conduit i %��
i6. Rough �IectricWiring ��
17. Rough Wiring Sign I
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning �
ir�-.
20.�Rough Eactory F.ire'place I , �-:,; '�
r.
27,� Ducts, inrStcucture{ � � _
22 .Ducts, Ventilating'`. � -
23.'Gas Pipe-Rough & Test - .
24 RoofFr'emirig -�,;� �- '.
25. Roof Slieathing .-.�+- .
26:.�T-Bar Ceiling (Structural) &iV1D`nocoat
27LFrameand Flashing - c
_28. Lathing�& Siding_' :� `"� _
29. Insulation - •�
30. Orywall Nailing � _
' 31. Plaster 6rown Cozt� =: -'-'
"32:, Electrical PowerFMeter-F;inal
-.33- Final Electric �� .
34,_Final Heating & Air,Conditioriing� �
35yFinal Gas Pipe-TesY� ..
' 36. Hood or Canopy ' - _ - "'
- 37.` Final FactorY Fireplacer --
= 38. Final PlUmbing �� -
'39. Water Service�Fina, �s' , ,
-�40. Gas Service�Final e ri '
� e -�
`-41. Solar pomestic-Firial = - '
42. Backflow Preventen.� a�
v�c �
43. Backflow I�iigation: , '
'44. LandscaPelrrigationSysteR�;�"�� -
r
-45:. Sound .Attenuation : .. ��
' 46. Handicap Regulations
47. PINAlSTRUCTURE & BUILDING
48:. FINAL FLANNING •- ,
- 49� Electric Release to Edison
- 50. Gas Release�to Southern California Gas
51. CERTIFICATE OF OCCUPANCY
NO. Date
� . POOL & SPA
Date � Inspector qppROVALS Permit#
� 52. Pool & Equipment Location
/f - 53. Steel Reinforcement
/
54. Forms .
� 55. Electrical Bonding
56. Rough Plumbing & Pressure Test
� 57. APPROVALTOCOVER�GUNITE
� � 58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
'' �� 60. Backwash Lines, P�Trap, O Undrgrnd.
� 61. APPROVAL TO DECK
;, 62. Backwash & Receptor�Final
63. Heater & Vent�Final -
64. Plumbing System - Final
,� .
65. Electrical-Final - -
��� 66. Solar SYstem-Final
3 � 67. Fencing & Access Approval
� � 68.� APPROVED FOR PLASTERING
� 69. POOL/SPASYSTEMSFINAL
� , ,_ FIRE DEPT. REQUIREMENT _
`, _ = APPROVAIS- =.Permit# ^
k `'' 70. Underg�ound HYdro
F � �; � �-. u�� 71. Product-Piping � Gas ❑ Oil
* � ' ' . 72. Underground Flush -
` - _
-- . - 73�: - Undergrnd. Storage�Tank.O Gas ❑ Oil
- ' 74. Overhead Hydro _
� � ' - 75.-Dry Chemical . - � =
� ' - � - 76 Dry Standpipe - _
` � '� � � 77.. FIXED SYSTEM;FINAL _ -
i � 78 FIRE PREV. FINA�L � ��'
" � i j:. ' " 'NEALTH�DEPT.. REQUIREMENT
.. -79. FINALINSPECTION- i �
sa,�.q� � ' . �SO.:FOOD CERTIFICATE ISSUED_
6� fb Notes: -_ _. .-._ � _ ,-
i-. ,; �; - .. _ .- .
� . a '/ � .
. � ��' . � .. _ - �
- /. : ir, - -
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Date Inspector
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